Organization
BAYCARE URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GORKEN (VP)
(727) 281-9202
Entity
Organization
Contact information
Practice address
900 CARILLON PKWY, ST PETERSBURG, FL 33716-1115
(727) 561-2670
Mailing address
2995 DREW ST FL 3, CLEARWATER, FL 33759-3012
(172) 728-1931
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
05/28/2021
Last updated
05/28/2021
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